Active NPI
Center for Ankle & Foot Care Inc
- Durable Medical Equipment & Medical Supplies
- Clermont, FL
National Provider Identifier
1194850107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 4690780001
- Legal business name
- CENTER FOR ANKLE & FOOT CARE INC
- Practice address
- 3190 Citrus Tower Blvd Ste a
Clermont, FL 34711 - Phone
- (352) 242-2502
- Fax
- (352) 242-0316
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tim James Henne, DPM
- Title
- Doctor
- Phone
- (352) 242-2502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4690780001 | FL | Primary |
Addresses
Primary practice location
3190 Citrus Tower Blvd Ste a
Clermont, FL 34711
Mailing address
3190 Citrus Tower Blvd Ste a
Clermont, FL 34711-6886
Phone (352) 242-2502
Other practice location 1
3150 Citrus Tower Blvd
Suite B
Clermont, FL 34711-6802
Phone (352) 242-2502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4690780001 | Other | FL | DME |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Clermont, FL
- NPI 1215962709
-
- Foot & Ankle Surgery Podiatrist
- Clermont, FL
- NPI 1053330589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529366400000",
"number": "1194850107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 CITRUS TOWER BLVD STE A",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116886",
"telephone_number": "352-242-2502",
"fax_number": "352-242-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 CITRUS TOWER BLVD STE A",
"city": "CLERMONT",
"state": "FL",
"postal_code": "34711",
"telephone_number": "352-242-2502",
"fax_number": "352-242-0316"
}
],
"practiceLocations": [
{
"address_1": "3150 Citrus Tower Blvd",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347116802",
"country_code": "US",
"telephone_number": "352-242-2502",
"fax_number": "352-242-0316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTER FOR ANKLE & FOOT CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2018-06-19",
"status": "A",
"authorized_official_last_name": "HENNE",
"authorized_official_first_name": "TIM",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "352-242-2502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "4690780001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "4690780001",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.